Provider Demographics
NPI:1245647411
Name:ARRITT, KIRK (DDS)
Entity type:Individual
Prefix:
First Name:KIRK
Middle Name:
Last Name:ARRITT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NV
Mailing Address - Zip Code:89415-0220
Mailing Address - Country:US
Mailing Address - Phone:775-945-1348
Mailing Address - Fax:775-945-1348
Practice Address - Street 1:155 C ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NV
Practice Address - Zip Code:89415-7808
Practice Address - Country:US
Practice Address - Phone:775-945-2438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00203467122300000X
TX30267122300000X
IDD-5007122300000X
NV7621122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist